Breast reconstruction surgery benefits
If you ever need a benefit-covered mastectomy, we hope it will give you some peace of mind to know that your benefits comply with the Women’s Health and Cancer Rights Act of 1998. For individuals receiving mastectomy-related benefits, coverage will be provided in a manner determined in consultation with the attending physician and the patient, for:
- Reconstruction of the breast(s) that underwent a covered mastectomy.
- Surgery and reconstruction of the other breast to achieve a symmetrical appearance.
- Prostheses and treatment for physical complications related to all stages of a covered mastectomy, including lymphedema.
All applicable benefit provisions will apply, including existing deductibles, copayments and/or coinsurance. Call your Plan Administrator (Employer) at the number on your ID card for more information.
For additional information about the Women’s Health and Cancer Rights Act, you can go to the United States Department of Labor website at: www.dol.gov/agencies/ebsa/laws-and-regulations/laws/whcra.